Kuluin State School eNewsletter

Excursion Consent Form - Year 4 Pinball Excursion (Wednesday 2nd November and Thursday 3rd November)

Dear Parents and Carers

On Wednesday 2^nd November (4J and 4C), and Thursday 3^rd November (4H and 4T), we will be visiting Sunshine Coast Pinball (the excursion) as part of our Term 4 Design and Technologies unit.

The aims of the excursion are to:

Support student learning by providing hands-on activities which will support their studies in the relevant Design and Tecnhologies unit
Provide students with an opportunity to observe a variety of arcade games, particularly pinball machines
Provide stimulus for students to then create their own pinball machines for assessment purposes
Provide students with expert knowledge

Excursion details:

Venue:	Sunshine Coast Pinball, located in: C-Square (Address: 52/64 Currie St, Nambour QLD 4560)
Dates:	Wednesday 2^nd November, 2022 (4J and 4C) Thursday 3^rd November, 2022 (4H and 4T)
Times:	Each day, the bus will depart Kuluin State School at 9:00am, to arrive at Sunshine Coast Pinball at 9:30am. The bus will then depart Sunshine Coast Pinball at 11:00am, to arrive back at Kuluin State School at 11:30am. We ask that students arrive promptly to school, prior to 8:45am, in order to leave Kuluin State School by 9:00am.
Supervision:	Whilst at Sunshine Coast Pinball, students will be under the supervision of Year 4 teachers, with staff from Sunshine Coast Pinball providing activity-specific information and safe-use of equipment. Students will move around the venue in small groups.
Equipment Requirements:	Full Kuluin School Uniform Shoes – normal enclosed school shoes Water Bottle Morning Tea (Normal school lunch will be eaten after returning to school)
School Excursion Safety Brief:	On arrival, a Sunshine Coast Pinball staff member will speak to students and teachers collectively, to outline; General venue rules Safety Instructions Discussion/briefing on *forces and components* involved with activities.
Risk Level:	Low- students will need to take the utmost care when entering, travelling on, and exiting the bus, and ensure they follow all safety guidelines provided to them at the venue. Students will be supervised by Kuluin State School staff while on the bus and at the venue.
Excursion costs:	The total cost of this excursion will be $18.40 per student. This includes bus transport and venue entry. Payment options are listed in the consent form below.
Excursion payment due date:	Wednesday, 26th October 2022

Student Code of Conduct

If you wish for your child/student to participate in the excursion, please complete this consent form.

For further information about the excursion, please contact Kane Jardine on (07) 5477 3777 or kajar0@eq.edu.au

Yours faithfully

Corrie Connors Kane Jardine

Principal Year 4 Classroom Teacher

Kuluin State School

Privacy Statement

The Department of Education is collecting the personal information in this form in order to:

- obtain consent for the named child/student to participate in the excursion;

- help coordinate the excursion;

- respond to any injury or medical condition that may arise during or as a result of the excursion; and

- update school records where necessary.

The information will only be accessed by authorised departmental staff. The information will not be disclosed to any other person or agency unless we have your consent or we are required or authorised by law to do so e.g. in compliance with relevant Queensland Chief Health Officer’s Directions.

Student First Name *

Student Last Name *

Roll Class *

Payment Options *

I have paid online via BPoint or QParents. See invoice for BPoint link.

I have paid via bank transfer. Kuluin State School BSB 064420 Account No. 00904741 with student name as a reference.

Please deduct my payment from Centrelink as per agreement

Please deduct from existing credit

Activity risks and insurance *

By signing this form, I agree to all the following statements:

I have read all of the information contained in this form in relation to the excursion (including any attached material)
I am aware that the department does not have personal accident insurance cover for children/students.
I give consent for the named child/student, to participate in the identified excursion.
I will pay to the school the costs detailed in this consent form for the child/student’s participation in the excursion.
I agree to and understand the refund policy as it applies to this excursion (see Excursion costs)
In the event of an accident or illness, school staff may obtain or administer any medical assistance or treatment the child/student may reasonably require, including contacting their doctor.
I accept liability for all reasonable costs incurred by the department in obtaining such medical assistance or treatment (including any transportation costs) and undertake to reimburse the department the full amount of those costs.
I have provided the school with all relevant details of the child/student’s medical or physical needs on registration/enrolment and where relevant have updated this information.
I give consent for child/student contact information to be shared in relation to this excursion in compliance with relevant Queensland Chief Health Officer’s Directions.

Additional medical information - The school collected medical information about your child at registration/enrolment. This information is stored electronically in OneSchool. Please give full details of any new or updated medical information which may affect your child’s full participation in the excursion described in the form.

Parent/Carer Name *

Phone Number *

Email *

Parent Signature *

Undo

Clear

Write your signature above the line

Date *